Rising Sun Community

Rising Sun Summer Camp

A New Day is Here!

Many of us know that the youth in our community are at risk due to poverty and lack of physical, emotional and mental support. Those who have or have had a parent or family member in jail or prison are even more at risk. Rising Sun Community programming offers an “oasis in the desert” for these children ages 10-15.

Sign your child up to begin a life changing experience that will give them opportunities to:

· Safely and creatively express themselves through the Arts.

· Offer life skills such as job readiness and study skills.

· Be a part of building up and repairing our community.

*Register now for Fall/Winter 2018*

Register Here!

Rising Sun Community Registration Form (Registration Open - 2018)

Family Information *

The Rising Sun Community Staff and Programs are focused on children who have or who have ever had an incarcerated family member. Our goal is to support and uplift all of our participants and their familes.
1. Who is/was incarcerated?
2. If family member is still incarcerated, what facility?

Child's Name *

Child's Name

First Name

Last Name

Birth date: 00/00/0000

Age

Gender: Male/Female

Street Address: Street, City, State, Zip Code *

Email Address *

School Name & Grade *

Child's Home Phone *

Please add any additional information you would like for us to know about your child.

Parent/Guardian #1: Name, Address, work/home phone, email *

Parent Guardian #2: Name, Address, Work/Home phone, email

Emergency Treatment *

I understand that I will be notified in the case of a medical emergency involving my child. In the event that I cannot be reached, I authorize the calling of a doctor and the providing of necessary medical services in the event my child is injured or becomes ill.
I understand that the Rising Sun Community or any partnering organizations will not be responsible for the medical expenses incurred, but that such expenses will be my responsibility as parent/guardian.

Is your child currently being treated for an injury or sickness or taking any form of medication for any reason? *

Does your child require a special diet? *

Please indicate how you heard about the Rising Sun Community Program: *

After School Program, Website, School, word of mouth, flyer or other (please specify)

Terms of Agreement

Photo Release *

Transportation Release *

I hereby give permission for the transportation of my child for official Rising Sun Community activities by modes of transportation agreed to by the camp organizers.

Photo Release: *

I hereby give my permission for my child to be photographed during the Rising Sun Community Program. I understand the photos will be used to keep a journal of activities, to share during power point presentations and/or reports to our nonors and for promotional purposes including flyers, brochures, newspaper and on the internet. I understand that although my child's photograph may be used for advertising, his or her identity will not be disclosed without parental consent. I do not expect compensation and all photos are the property of Rising Sun Community and its affiliates.

Parent/Guardian Signature *

The Rising Sun Community and its co-organizers are not responsible for lost, stolen or damaged property. All scheduled events are subject to change. Children's photos and quotes may be used for publicity and promotion purposes. In case of an emergency, and if a family physician cannot be reached, I hereby authorize my child to be treated by certified emergency personnel (i.e. EMT, First Responder, and/or Physician).